chapter 9 mental health legal and ethical

what is the time frame that a person can be detained in a psychiatric facility on an emergency basis until a hearing can be conducted to decide commitment

2 to 3 days

slander is oral defamation of character

Give the client the opportunity to gain selfcontrol

the insanity defense is used infrequently. this legal issue sparks controversy due to the fact that the guilty person is allowed to go free. what are the insanity defense criteria based on

M'Naghten rule

which of the following would indicate a duty to warn a third party

a client states "if i cant have my girlfriend back, then no one can have her"

the appointment of a conservator would be inappropriate in which situation

an individual exhibiting bizarre behavior

a client has a prescription for haloperidol, 5 mg orally two times a day, as ordered by the physicia. the client is suspicious and refuses to take the edication. the nurse says "if you dont take this pill ill get an order to give you anjection" this is an example of

assault

the nurse is threatening to give the client an injection in order to restraint

assault

clients right to self determination and independence is guided by which ethical principle

autonomy

which ethical principle involves the right of the client to make his or her own decisions

autonomy

Touching a client without consent is an example of which of the following?

battery

touching a client without consent is an example of which of the following

battery

when discussing a clients mental health condition with someone other than health team the nurse is

breach of confidentiality

which element of malpractice occurs when the nurse does not act as a reasonable, prudent person who would have acted in a similar circumstance

breach of duty

A client's behavior is escalating and becoming more aggressive in nature. Which of the following is the most important nursing intervention to complete when restraining an aggressive client?

check correct application of restraints

Which of the following is the most important nursing intervention to complete when restraining an aggressive client

check the correct application of the restraints

a client has been voluntarily admitted to the hospital. the nurse knows that which of the following statements is inconsistent with this type of hospitalization

client can't be released without medical advise

which of the following elements are necessary to prove liability in a malpractice lawsuit

client is injured, failure to conform to standards on care, injury caused by breach of duty, recognized relationship between client and nurse.

which of the following elements are essential in a clinicians duty to warn?

client makes threatening statements, potential victims are identifiable, threat of harm is serious

Disclosure of client information beyond the interdisciplinary team without consent of the client is a breach of

confidentiality

A 22yearold client has been manipulative of staff and disruptive in the milieu. Although she is not dangerous to herself or others, she has created problems on the unit and clearly is not making progress. The nurses offer prescribed medication, but she consistently refuses "any drugs." The staff realizes that legally this client cants

continue to refuse treatment

short term use of restraints is only okay when

danger to himself and or others

which of the following is an inappropriate intervention for the client in seculsion

documented assessment by the nurse every 30 minutes

tarasoff vs. reagents mandates that a clinical has the responsibility to take which of the following measures to secure the safety of the clients involved

duty to warn

which of the following occurs when there is a situation in which ethical principles conflict or when there is not one clear course of action

ethical dilemma

The nurse is detaining the client from leaving the hospital by refusing to allow him to take his personal items. This is an example of which of the following?

false imprisonment

a hospitalized client is delusional, yelling "the world is coming to an end. we must all run to safety" when other clients complain that is client is loud and annoying the nurse decides to put the client in seclusion. the client has made no threatening gestures or statements to anyone. the nurses action is an example of

false imprisonment

the inappropriate use of restraints or seclusion is unjust as in an example of which of the following actions

false imprisonment

the nurse is detaining the client from leaving the hospital by refusing to allow him to take his personal items. this is

false imprisonment

seclusion is an involuntary confiement of a person in a specially constructed, locked room with a security window or camera direct visual monitoring. what is the goal of this type of intervention

give the client the opportunity to gain self-control

A client was brought to the emergency department by police after neighbors complained he was loud and disruptive. The cliendt is paranoid and upset and states, "No one can be trusted." Which of the criteria for involuntary admission does this client meet?

he doesnt meet any of the necessary criteria

Seclusion is the involuntary confinement of a person in a specially designed room. Which of the following occurs when staff members physically control the client and move him or her to a seclusion room?

human restraint

which of the following occurs when staff members physically control the client and move him or her to a seclusion room

human restraint

When is a nurse legally obligated to breach confidentiality?

if threats are made to an outside party

Malpractice must be proven by four elements. All of the following must be proven, except

intent

malpractice must be proven by four elements. all of the following must be proven except

intent

which of the following states have not abolished the insanity defense

iowa

the nurse gives the client quetiapine (seroquel) in error when olanzapine (zyprexa) was ordered. the client has no ill effects from the quetiapine. in addition to making a medication error, the nurse has committed which of the following

none of the above

which ethical principle focuses on the duty to do no harm

nonmaleficence

which ethical principle is at risk when the client presents an imminent threat of danger to self or others

nonmaleficence

the client who is involuntarily committed to an inpatient psychiatric unit loses which of the following rights

right to freedom

all of the following are civil rights afforded to all people getting mental health care except

right to leave if involuntarily committed

the nurse must be truthful and honest when caring for mental health clients. in this instance, the nurse is utilizing which ethical principle

veracity